Healthcare Provider Details

I. General information

NPI: 1558352930
Provider Name (Legal Business Name): ZHI ZHANG,M.D., PROF. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2508 PRIMROSE LN
ABERDEEN SD
57401-1659
US

IV. Provider business mailing address

2508 PRIMROSE LN
ABERDEEN SD
57401-1659
US

V. Phone/Fax

Practice location:
  • Phone: 605-622-5100
  • Fax: 605-622-4030
Mailing address:
  • Phone: 605-622-5100
  • Fax: 605-622-4030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number4614
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4614
License Number StateSD
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4614
License Number StateSD

VIII. Authorized Official

Name: ZHI ZHANG
Title or Position: MEMBER
Credential: MD
Phone: 605-622-5100